a) you should ease down on the PPI and reduce them...you cannot  just take it off...

b) long term GERD might either cause erosion in your esophagus area...and inflammed it....

c) part of the reason is your LS lower splincter muscle is relaxed state...where it is unable to close when you are processing food.
So retraining your eating habit time is important.

d) food diet...know what you eat , how you eat them, when you eat them.

e) alkaline food...dont overdose if you are low on acid already...but you can do a simple inaccurate test using "baking soda".

Am i all talk?..No..I had GERD 10years+, ...quit a stressful job, took a short pay cut, did contract work, change my lifestyle and my eating habits...and resolve them in < 1 year.

The PPIs and etc....they don't help you recover...it just elevates your symptom.
I also did chinese medicine from Tung Shin.

The rest is your decision. All the best.

I'm not sure is anyone is still following this or maybe everyone has cured their GERD, but in case anyone else comes across this post, I would like to contribute from a professional point of view.

GERD can be associated with dietary patterns and food types to some degree. It is also a condition that is known to fluctuate with anxiety or stress. It's basically a condition where there is reflux from the stomach into the oesophagus. It is usually stomach acid - which is why PPIs work. In some cases it may be bilious or liquid/food contents, which is why some they don't respond to PPI very well. Other medications may be useful for this group of people.

I notice that some of the forum members have mentioned persistent severe GERD symptoms, or GERD that is dependant on PPI usage long term. Many GPs and even some gastroenterologist will just tell you to take the medications long term and live with it. I know that this is not a solution for some people, particularly younger patients where they will have to take medications for decades or limit their lifestyle.

Assuming the symptoms are not caused by something else, this group of people may be suitable for minor surgery to treat their GERD. The results are very good actually. Obviously prior to this, further tests need to be done to confirm the GERD... you'll be surprised how many people actually have functional GERD (no actual reflux even though they feel the symptoms).

If there are any questions I will try to answer them here. Please don't PM as I think everyone should benefit from the questions and answers.

p/s: all this is assuming GERD is the right diagnosis. There are many other causes of chest and stomach discomfort.

Hi Alicia,

Can I know how much does the surgery cost? I'm looking if this can solve my acid reflux problem then it will be great for me...

I'm not sure is anyone is still following this or maybe everyone has cured their GERD, but in case anyone else comes across this post, I would like to contribute from a professional point of view.

GERD can be associated with dietary patterns and food types to some degree. It is also a condition that is known to fluctuate with anxiety or stress. It's basically a condition where there is reflux from the stomach into the oesophagus. It is usually stomach acid - which is why PPIs work. In some cases it may be bilious or liquid/food contents, which is why some they don't respond to PPI very well. Other medications may be useful for this group of people.

I notice that some of the forum members have mentioned persistent severe GERD symptoms, or GERD that is dependant on PPI usage long term. Many GPs and even some gastroenterologist will just tell you to take the medications long term and live with it. I know that this is not a solution for some people, particularly younger patients where they will have to take medications for decades or limit their lifestyle.

Assuming the symptoms are not caused by something else, this group of people may be suitable for minor surgery to treat their GERD. The results are very good actually. Obviously prior to this, further tests need to be done to confirm the GERD... you'll be surprised how many people actually have functional GERD (no actual reflux even though they feel the symptoms).

If there are any questions I will try to answer them here. Please don't PM as I think everyone should benefit from the questions and answers.

p/s: all this is assuming GERD is the right diagnosis. There are many other causes of chest and stomach discomfort.